Cardiovascular Disease in Black Versus White Physicians

Summary

To examine the natural histories of coronary artery disease and hypertension in cohorts of
Black and white men of identical education and occupations.

Description

BACKGROUND:

Prior studies of Black-white differences in hypertension and coronary disease have compared
racial groups from markedly different socioeconomic and educational backgrounds. This study
represented one of a few, if any, long term prospective studies of cardiovascular disease in
middle-class Blacks and whites of similar education and occupation, in whom both youthful
and midlife risk factors were assessed.

DESIGN NARRATIVE:

In this prospective study, the prevalence and incidence of coronary artery disease,
hypertension, and other cardiovascular diseases were compared using standardized endpoint
criteria. The prevalence of cardiovascular risk factors in midlife were compared between
cohorts, and included smoking, diabetes, family history, dietary factors, and lipoprotein
cholesterol levels. The youthful predictors of midlife cardiovascular risk factors were
determined using baseline data collected by identical protocols in the two cohorts between
1957 and 1965. The youthful risk factors were related to the incidence of disease in
midlife in two cohorts to identify differences in significance, independence, and relative
importance of risk factors in Blacks versus whites.

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Medical and Biotech [MESH] Definitions

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Pathological conditions involving the CARDIOVASCULAR SYSTEM including the HEART; the BLOOD VESSELS; or the PERICARDIUM.

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Methods and procedures for the diagnosis of diseases or dysfunction of the cardiovascular system or its organs or demonstration of their physiological processes.

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